An 85-year-old person has a urinary tract infection. What clinical manifestation do you expect to see in this person?

Pyuria, urgency, and frequency

Dysuria, frequency, and suprapubic pain

Confusion and frequency

Hematuria and flank pain

Answer and Explanation

The Correct Answer is C

Choice A reason: Pyuria, urgency, and frequency are typical UTI symptoms, but elderly patients often present with atypical signs like confusion. Confusion is more prominent in this age group, so this is less specific and incorrect.

Choice B reason: Dysuria, frequency, and suprapubic pain are common UTI symptoms, but elderly patients may show confusion instead of classic signs. Confusion and frequency are more likely, so this is incorrect.

Choice C reason: In elderly patients (85 years), UTIs often cause confusion due to altered mental status, alongside frequency. Atypical symptoms like confusion are common, making this the correct manifestation for this age group.

Choice D reason: Hematuria and flank pain suggest complicated UTIs or kidney issues, not typical in elderly UTI presentation. Confusion and frequency are more expected, so this is incorrect.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Weight loss occurs in both DKA and HHNS due to prolonged hyperglycemia and fluid loss. Kussmaul respirations are specific to DKA’s acidosis, so this is incorrect for DKA-only.

Choice B reason: Kussmaul respirations, rapid and deep breathing, are unique to DKA, compensating for metabolic acidosis from ketones. HHNS lacks significant acidosis, making this the correct DKA-specific manifestation.

Choice C reason: Increased serum glucose is common to both DKA and HHNS, as both involve severe hyperglycemia. Kussmaul respirations are DKA-specific, so this is incorrect.

Choice D reason: Fluid loss occurs in both DKA and HHNS due to osmotic diuresis. Kussmaul respirations are exclusive to DKA’s acidotic state, so this is incorrect.

A. Have oropharyngeal suctioning equipment at the bedside B. Arrange for small, frequent meals C. Allow patient to consume thickened fluids only D. Administer antiemetics before meals E. Position patient with head of bed elevated

Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason: Achalasia increases aspiration risk due to esophageal dysmotility. Oropharyngeal suctioning equipment at the bedside ensures airway safety, making this a critical intervention to prioritize in the care plan.

Choice B reason: Small, frequent meals reduce esophageal pressure in achalasia, easing swallowing and minimizing regurgitation. This dietary adjustment is essential for symptom management, making it a correct intervention to prioritize.

Choice C reason: Thickened fluids only may not be necessary; achalasia patients can often manage various consistencies with proper positioning. Other interventions like suctioning and small meals are more critical, so this is incorrect.

Choice D reason: Antiemetics before meals reduce nausea and vomiting, common in achalasia due to food retention. This improves patient comfort and nutrition, making it a correct intervention to prioritize in care.

Choice E reason: Elevating the head of the bed prevents regurgitation and aspiration in achalasia, especially during sleep. This positioning is a key safety measure, making it a correct intervention to prioritize.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An 85-year-old person has a urinary tract infection. What clinical manifestation do you expect to see in this person?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When comparing the clinical manifestations of both diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNS), which condition is associated with only DKA?

Correct Answer is B

Explanation

You are caring for a patient with achalasia. Which interventions should you prioritize in the plan of care? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

You walk into a room and find a patient forcefully expelling stomach contents into a wash basin. When documenting this occurrence, you will use the term:

Which of the following best describes the primary characteristic of obsessive-compulsive disorder (OCD)?

You are working on the cardiac unit and you have noticed that a patient’s potassium is 6.1 mEq/L. You have notified the provider and removed the banana from his meal tray. When explaining your actions to the patient, which of these statements is appropriate?

A patient comes to the Emergency Department with inspiratory stridor, nonproductive cough, and tachypnea. What treatment do you anticipate for this patient as the priority?

Thrombocytopenia:

How do we measure inflammation? (Select all that apply)

A patient presents to the clinic with complaints of suprapubic discomfort and problems with urination. After reviewing her lab results, you notice that her creatinine and BUN (Blood Urea Nitrogen) levels are elevated. What do these elevated levels indicate?

A patient presents with severe pain in the upper arm after a fall. The affected area is swollen, and the patient is unable to move the arm without significant pain. Imaging studies reveal a malignant bone tumor in the humerus with a transverse break through the lesion. What is osteosarcoma?